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I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. Now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not want to lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this?
Answered by Dr. Vidya Ramasamy

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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Hello,

Welcome to iclinq.com.

Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc.

Probable diagnosis

Short cervix.

Treatment plan

Cervical stitch.

Preventive measures

Strict rest, avoid sitting positions, as it increases the pressure over internal os.

Regarding follow up

When necessary.

Patient's Query

Thank you doctor,

I am really worried about this and thinking about the risk factors which made me worry too much. My next scan is within 10 days, can I wait until then? Because now the hospital will not give me appointment until 10 days. Please advise.

Answered by Dr. Vidya Ramasamy

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I can understand your struggle. Waiting for 10 days is fine, no problem until then do not take more risk of thinking about whether you require the stitch or not. You surely require it. My advice is, do it as soon as possible. And generally, the complication due to cervical stitch is less as compared to taking the risk of continuing pregnancy without it.

Medically reviewed by Dr. Vinodhini J.
Published At May 8, 2020
Reviewed At August 30, 2023

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vidya Ramasamy
Dr. Vidya Ramasamy

Obstetrics and Gynecology

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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